首页|二甲双胍联合维生素D对糖尿病合并骨质疏松症患者血糖水平的影响

二甲双胍联合维生素D对糖尿病合并骨质疏松症患者血糖水平的影响

Effect of Metformin Combined with Vitamin D on Blood Glucose Level in Patients with Diabetes Mellitus Complicated with Osteoporosis

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目的 研究糖尿病合并骨质疏松症患者应用二甲双胍联合维生素D的作用.方法 选择2022年6月—2023年12月惠安县医院收治的98例糖尿病合并骨质疏松症患者为研究对象,以治疗方法的不同分为两组,各49例.对照组使用瑞格列奈+维生素D滴剂治疗,研究组在对照组基础上使用二甲双胍治疗.对比两组血糖水平、骨密度、骨代谢指标、生活质量.结果 治疗后,研究组空腹血糖、餐后2 h血糖、血磷水平低于对照组,骨密度、血钙、骨钙素水平以及生活质量评分高于对照组,差异均有统计学意义(P均<0.05).结论 糖尿病合并骨质疏松症患者应用二甲双胍联合维生素D能够降低血糖水平,提高生活质量,是一种有效的治疗方案.
Objective To study the effect of metformin combined with vitamin D in patients with diabetes mellitus complicated with osteoporosis.Methods A total of 98 patients with diabetes mellitus complicated with osteoporosis ad-mitted to Hui'an County Hospital from June 2022 to December 2023 were selected as the research objects.They were divided into two groups according to different treatment methods,with 49 cases in each group.The control group was treated with repaglinide+vitamin D drops,and the study group was treated with metformin on the basis of the control group.The blood glucose levels,bone mineral density,bone metabolism indexes and quality of life were compared be-tween the two groups.Results After treatment,the levels of fasting blood glucose,2-hour postprandial blood glucose and blood phosphorus in the study group were lower than those in the control group,and the levels of bone mineral density,blood calcium,osteocalcin and quality of life scores were higher than those in the control group,the differ-ences were statistically significant(all P<0.05).Conclusion The application of metformin combined with vitamin D in patients with diabetes mellitus complicated with osteoporosis can reduce blood glucose levels and improve quality of life.It is an effective treatment plan.

MetforminVitamin DDiabetes mellitusOsteoporosisBone metabolism

陆远、陈晓阳、谢素珍

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惠安县医院骨科,福建 泉州 362100

二甲双胍 维生素D 糖尿病 骨质疏松症 骨代谢

2024

糖尿病新世界
中国病理生理学会

糖尿病新世界

影响因子:0.461
ISSN:1672-4062
年,卷(期):2024.27(20)